Active NPI
Western Slope Mens Health, LLC
- Family Nurse Practitioner
- Montrose, CO
National Provider Identifier
1134811185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- WESTERN SLOPE MENS HEALTH, LLC
- Practice address
- 33 N Uncompahgre Ave
Montrose, CO 81401-3957 - Phone
- (970) 596-5596
- NPI assigned
- May 25, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jack Mayeux
- Title
- Owner
- Phone
- (970) 596-5596
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
33 N Uncompahgre Ave
Montrose, CO 81401-3957
Mailing address
2040 Market St
Montrose, CO 81401-5531
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684972800000",
"number": "1134811185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 MARKET ST",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814015531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 N UNCOMPAHGRE AVE",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814013957",
"telephone_number": "970-596-5596"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN SLOPE MENS HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-25",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A",
"authorized_official_last_name": "MAYEUX",
"authorized_official_first_name": "JACK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "970-596-5596"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montrose, CO
- Lynne Ashley Weaver
- West Slope Medical Services LLC-S
- Western Colorado Hearing Clinic
- Western Colorado Physical Therapy and Wellness LLC
- Western Slope Family Medicine, PLLC
- Western Slope Orthopaedics
- Western Slope Orthopaedics
- Western Slope Sleep Center LLC
- Deborah Lynne Westervelt, LCSW
- Bradley Hampton Wheeler, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.